13. Early outcomes of digital flexible ureterorenoscopy in the treatment of urinary stone at Ha Noi Medical University Hospital
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Abstract
This study evaluates the early outcomes of digital flexible ureteroscopy in the treatment of kidney stones. A retrospective study was conducted in 84 patients between June 2021 and June 2022. The mean age of patients was 49.9 ± 13.6. The percentage of male and female was 67.9% and 32.1%, respectively. The average stone size in the study was 12.6 ± 3.3 mm. There were 69% of patients who did not need JJ stent before lithotripsy and 31% of patients needed JJ stent in which the main cause was ureteral stricture. Ureteral access sheath size 12 was used in 95.2% of the patients and size 14F was used in 4.8%. Only 1 patient (1.2%) did not receive JJ stent after lithotripsy and the remaining 98.8% of patients received JJ stent in which the majority of patients received JJ 6 (63.1%). The rate of stone clearance immediately after lithotripsy was 88.1% and after 1 month, the rate was 91.7%. The average surgical time was 56.4 ± 14.5 minutes and the average hospital stay was 1.4 ± 1.1 days. The rate of complications grade I and II according to Clavien-Dindo classification was 7.2% and 8.4%, respectively. We did not record any patients with complications of grade III or higher. Thus, digital flexilble ureterscopy has a high stone free rate and low early complications in the treatment of urinary stones ≤ 20mm.
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Keywords
Flexible ureterscopy, digital flexible ureterscopy, RIRS
References
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